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Connecticut rates for HCPCS 99427

Principal care management services, for a single high-risk disease, with the following required elements: one complex chronic condition expected to last at least 3 months, and that places the patient at significant risk of hospitalization, acute exacerbation/decompensation, functional decline, or death, the condition requires development, monitoring, or revision of disease-specific care plan, the condition requires frequent adjustments in the medication regimen and/or the management of the condition is unusually complex due to comorbidities, ongoing communication and care coordination between relevant practitioners furnishing care; each additional 30 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.87 / $41.87 / $57.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.86 / $39.97 / $57.79
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.79 / $54.26 / $79.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.99 / $63.32 / $80.80
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.12 / $44.12 / $44.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.94 / $66.27 / $89.56